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Medical Diagnosis 2021
超声心动图在健康孕妇左心房功能评价中的应用进展
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Abstract:
妊娠期女性心脏形态和功能均会出现适应性转变，同时也增加了各类心脏疾病的发生风险。其中左心房结构和功能重构是妊娠期心血管系统生理性变化过程中不可忽视的环节，它既是左心室舒张功能障碍的敏感指标，也是孕期心血管事件的有效预测因子。超声心动图可多参数、多模态、多角度综合定量评估妊娠期左心房结构和功能变化，现已成为妊娠期首选的无创、非放射性的心脏结构和功能检查手段。不同类型的超声心动图在左心房功能评价上各有侧重，为此，本文将针对超声心动图对妊娠期左心房结构及功能变化评价的价值及其进展做一综述。
The shape and function of the heart of pregnant women will undergo adaptive changes, which also increase the risk of various heart diseases. The structural and functional reconstruction of the left atrium is a link that cannot be ignored in the physiological changes of the cardiovascular system during pregnancy. It is not only a sensitive indicator of left ventricular diastolic dysfunction, but also an effective predictor of cardiovascular events during pregnancy. Echocardiography can comprehensively and quantitatively evaluate the changes in left atrial structure and function during pregnancy with multiple parameters, multiple modes, and multiple angles. It has become the first choice for non-invasive, non-radioactive cardiac structure and function examination during pregnancy. Different types of echocardiography have their own emphasis on the evaluation of left atrial function. For this reason, this article will review the value and progress of echocardiography in the evaluation of changes in left atrial structure and function during pregnancy.
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